Yeongju Park, L,AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18917 Issued in CA

Practice address

520 S Virgil Ave
Suite 503
Los Angeles, CA 90020

Phone

(213) 808-3800

Fax

(213) 322-2297

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zen Acupuncture Inc.

  • Acupuncturist
  • Norco, CA
  • NPI 1851753016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1750998936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "SUITE 503",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-808-3800",
            "fax_number": "213-322-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "SUITE 503",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-808-3800",
            "fax_number": "213-322-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YEONGJU",
        "credential": "L,AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-05-10",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson C Park, D.C.
• Wilson Ho Park, MD
• Won Bo Park, DDS
• Wonju Park, NP
• Woo Sung Park, D.D.S., M.D.S.
• Yeri Park, MD
• Yong Hwan Park, D.C
• Yong S. Park, MD
• Yong Sue Park, PHD
• Yongeul Park, LAC

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.